A key role for corticotropin-releasing factor in alcohol dependence

M Heilig, GF Koob - Trends in neurosciences, 2007 - cell.com
Trends in neurosciences, 2007cell.com
Recent data indicate that alcohol dependence induces long-term neuroadaptations that
recruit a negative emotional state. This leads to excessive alcohol ingestion motivated by
relief of negative emotionality. A key mechanism in this transition to negative reinforcement
is a recruitment of corticotropin-releasing factor (CRF) signaling within the amygdala. Long
term upregulation of CRF 1 receptors is observed in the amygdala following a history of
dependence, and CRF antagonists selectively block emotionality, excessive alcohol …
Recent data indicate that alcohol dependence induces long-term neuroadaptations that recruit a negative emotional state. This leads to excessive alcohol ingestion motivated by relief of negative emotionality. A key mechanism in this transition to negative reinforcement is a recruitment of corticotropin-releasing factor (CRF) signaling within the amygdala. Long term upregulation of CRF1 receptors is observed in the amygdala following a history of dependence, and CRF antagonists selectively block emotionality, excessive alcohol drinking and stress-induced reinstatement of alcohol-seeking in post-dependent animals. Innate upregulation of CRF1 receptor expression mimics the post-dependent phenotype, both with regard to emotional responses and ethanol self-administration. Therefore, the CRF system is emerging as a key element of the neuroadaptive changes driving alcoholism and as a major target for its treatment.
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